Questions 1-21

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Have you ever wondered how your smoking compares to others, how much money you spend, or what life could be like if you were a non-smoker? Tell us about yourself…

  1. Your First Name: (to protect your privacy please only use your first name or a nickname)

  2. You are:

  3. Your age: (example: 22)

  4. What country do you live in?

  5. On average, about how many cigarettes do you smoke per day?

  6. How much does a pack of cigarettes cost you? (example: 8.55)

  7. In some countries, packs contain different amounts of cigarettes. About how many cigarettes are in the packs you bought?

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